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ON-LINE APPLICATION FOR TNPSC REGISTRATION

35031
Registration # : 507537260

Notification. No. : 07/2015

Full Name : V RAJA GOPAL

Do you have One Time Registration ID? : YES

One Time ID : 14610885
Posts included in
Combined Civil Services
Name of The Post Applying for :
Examination - II (Interview
posts )(Group-II services)
Are you a Destitute Widow? : NA
Are you a Differently Abled Person? : NO
Are you an Ex-Serviceman ? : NO
Date of Enrolment : --
PPO No : --
Date of Discharge / Probable date of Discharge : --
Are you a Government Employee? : NO
Have you been debarred by the Public Service Commission or any other recruiting agency? : NO
Are you a retrenched Technical or Non-Technical Employee of TANSI and not
NO
absorbed in Government Corporation or Undertaking? :
Nationality : Indian

Application Fee/Examination Fee/Intimation Charge details:

Payment Mode: NO FEE
Amount : 0.00

Personal Details :
Date of Birth : 21/04/1986
Gender : MALE
Marital Status : UnMarried

Religion : Hindu

Candidate's Place of Birth : KOVILPATTI

Native District : Tuticorin

Father's Name : N VELUSAMY

Father's Place of Birth : Tirunelvelli

Mother Tongue : Tamil

Mother's Name : V MARIAMMAL

Communal Category : Backward Class(BC)

Name of the SubCaste : ThuluvaVellala

Certificate No : 4742261
Date Of Issue : 30/08/2003

Issuing Authority : Zonal Deputy Tahsildar

Taluk : Kovilpatti

District : Tuticorin

Address for Correspondence : 34 4TH AVENUE GOVINDRAJ NAGAR

2ND CROSS STREET

PORUR
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District Kancheepuram

State : Tamil Nadu

Pincode : 600116

Permanent Address : 168 A-2,CHINDHAMANI NAGAR 2ND

STREET,AROCKIYA MATHA COTTAGE

KOVILPATTI
District Tuticorin

State : Tamil Nadu

Pincode : 628501

Contact Details :
Email ID : gopalcs6525@gmail.com

Mobile No : 9715543465

EDUCATIONAL QUALIFICATION PARTICULARS :

Exam Passed Date of Medium of Degree Major Subject Certificate No Board /

Publication of Instruction University
Results
S.S.L.C : 30/03/2001 Tamil N/A N/A 1087403 STATE BOARD

H.S.C / ITI (2 30/05/2003 N/A 0030237

years) / Teacher
Tamil H.S.C STATE BOARD
Training (2
years) :

COMPUTER 448781 ANNA

Degree : 30/04/2006 English B.E.
SCIENCE UNIVERSITY

Post Graduate 30/11/2013 COMPUTER 02742 STPETERS

English M.E.
Degree : SCIENCE UNIVERSITY

Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : NA

Whether you are applying with the Educational Qualification as Prescribed in the notification
Prescribed Qualification
or with an equivalent qualification :
Details regarding the prescribed qualification :
Master's Degree in Computer Application / Master's Degree in Science (Information
Yes
Technology / Computer Science)
Any other Master's degree /IPG Degree No

Any Bachelor's Degree No

Any Bachelor's Degree with Typewriting in Higher/ Senior Grade in both Tamil and English NA
PG Diploma in Agriculture Economics and Co-operation No
Diploma in Rural service / Diploma associate member of the Institute Chartered Accountant. No

Diploma in Handloom Technology / Textile Technology / Textile Processing / Man made

No
Fibre Technology
Do you possess any preferential qualification as per Notification? : No

Qualification with Major Medium of Date of Publication of

Board/University
subject Instruction Results
-- -- -- --

-- -- -- --

-- -- -- --

-- -- -- --

Are you rendered any social welfare work for a period of not less than one year? : --
Are you Released Emergency Commissioned Officer? : --
Are you released Short Service Regular Commissioned Officer? : --

Technical Qualification Particulars :

Grade Certificate No. Date of Issue Board/Authority

Typewriting Tamil -- -- -- --

Typewriting English -- -- -- --

Shorthand Tamil -- -- -- --

Shorthand English -- -- -- --
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Book keeping -- -- -- --

Do you have the Physical Standards as per notification : Yes

EXAMINATION PARTICULARS :
Name of the Examination Centre : Vadapalani
Optional Subject : General Studies ( Degree standard) and General Tamil (SSLC standard)
Do you claim Age Concession? : No

Do you claim fee concession for payment of Examination fee? : Yes

Under What Category? : BC/BC (M) [Degree holders] (3 times only)
No of free Attempts : 2
Criminal Case (Registered/Pending/Punishment awarded/Acquitted) : No

Participation in Political Activities (In agitation/As a Member of Political

No
Organisation/Candidature in Election) :
Experience Details :

Name of the Organisation Designation From(dd/mm/yyyy) To(dd/mm/yyyy) Nature of Duty

SRI KRISHNA ENGINE ASSISTANT PROFESSO 01/06/2013 30/04/2015 TEACHING
ERING COLLEGE R

ARIGNAR ANNA ENGIN LECTURER 01/06/2010 30/04/2013 TEACHING

EERING COLLEGE

Previous appearance for Oral Test / Written Test

Name of the Post Register No. Year

-- -- --

-- -- --

DECLARATION:

1. I hereby declare that all the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. In the event of any information being found false or
incorrect or ineligibility being detected before or after the examination, action can be taken against me by the TNPSC.

2. I hereby declare that I will not be a party to any kind of canvassing on my behalf.

3. I further declare that I fulfil all the eligibility conditions prescribed for admission to the examination.

4. I have informed my employer in writing that I am applying for this Examination.

5. I have gone through the instructions to candidates and the Commission's notification for this Recruitment before filling up the application form.

6.I declare that I possess the Physical standards prescribed for the post(s) which I am now applying.

7. I Certify that I have not been debarred / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above said declarations

Place:

Last Updated Date: 2015-05-27 20:32:24 Signature of Applicant

Note: Please retain your Registration No. and Password emailed to you carefully for further reference
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